[Peculiar features of the diagnosis and operative treatment of patients with post-infarction aneurysm of the left ventricle complicated by thrombosis].
Echocardiography and contrast ventriculography are of critical importance in diagnosing thrombi, only in 7.6% of cases echocardiography failed to diagnose thrombosis of the aneurysm cavity. The data of ventriculography thrombi were found but in 84.3% of all the patients with post-infarction aneurysm of the left ventricle (PALV) complicated by thrombosis. The preoperative preparation of patients with PALV included a regulation of the coagulating system using plasmapheresis and plasmathrombocytopheresis. During operations of patients with PALV complicated by a thrombus, following opening the aneurysm cavity, a wide turunda was laid under the thrombus to prevent embolism. These new measures reduced lethality of thromboembolic complications to 0.24%.
Shilov
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D006348:Cardiac Surgical Procedures / Q000379:methods*; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D005500:Follow-Up Studies; D015637:Gated Blood-Pool Imaging; D006322:Heart Aneurysm / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006331:Heart Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D013927:Thrombosis / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods*